HomeMy WebLinkAbout038-1114-10-225 Wi4116partment of Commerce SOIL EVALUATION R ORT p ager�of
Divi§i�in of Safety� uilding�'.i
i.. in accordance with Comm 85,Wis. Adm. Code
AC f X County L
j\0
ite lar; aper not less than 8 1/2 x 11 inches in size.Plan must
ti include� td:ve ical and horizontal reference point(BM),direction and Parcel I.D.percent le or dimeisions,north arrow,and location and distance to nearest road. ,
lease print all information, viewed Date
�' ei onal inform do `
1 � yyy u provide may be used for secondary purposes(Privacy Law,s.15.04(1)(m)). �
Property owner Property Location „t r f-
Govt.Lot �: 1!4 1/4 S T N R/ E
Property Owner's Mailing Ad-dress , Lot# Block# Subd.Name or M#
f ( /—�1 �0
C' Stated Zip ode Phone Number [I City ❑Village Town Nearest Road
n D ( — ✓��
[ Mew Construction Use:[Residential/Number of bedrooms_ Code derived design flow rate 6—adz,__ GPD
Replacement Publicor�om ercial- escribe:
Parent material G�°�/e� /c[�fl ez Flood Plain elevation if applicable
General comments
and recommendations:
ee
M Boring#
Boring
/ Pit Ground surtace elev. ft. Depth to fa
limitin ctor _in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 -Eff#2
O his ,/1"► �
Boring# Boring ,
r
Pit Ground surface elev._L ft. Depth fG I m„ng factor�e! in.
Soil lication Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/f?
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. •Eff#1 `Eff#2
Effluent#1 =BOD >30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD <30 mg/L and TSS<30 mg/L
CST ame(Please Print) Signature CST Number
/ C ”`
A ss Date Evaluation Conducted Telephone Number
Prop"Owner Parcel ID# Page of
Borin # ❑ Boring
g Wit Ground surface elev. ft. Depth to lim' ng factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
Boring# ❑ Boring
G Pit Ground surface elev. I ft. Depth to limiting factor 7 in.
Soil Application Rate
horizon Depth .Dominant Color > Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
II
I
Boring# � Boring
Ground surface elev. ft. Depth to limiting factor in.
Soil Application Rate
Horizon Depth Dominant Color Redox Description Texture Structure Consistence Boundary Roots GPD/ff
in. Munsell Qu.Sz. Cont.Color Gr.Sz.Sh. 'Eff#1 'Eff#2
Effluent#1 =BODS>30<220 mg/L and TSS>30<150 mg/L 'Effluent#2=BOD.,<30 mg/L and TSS<30 mg/L
The Department of Commerce is an equal opportunity service provider and employer. If you need assistance to access services or
need material in an alternate format, please contact the department at 608-266-3151 or TTY 608-264-8777.
SBD-8330(R.6(00)
r
Soil Test Plot Plan
Project Name Dave Bracht Byrqppffird Jr.
Address 985 198th ave
Somerset Wi. 54025 j9fM #220527
Lots Subdivision csm Date 12/16/0
NE 1/4NE 1/4529 T 3i N/F118 W Towns h1pStarPrairie
Boring Q Well PL Property Line County ST. CROIX
,BM or VRP Assume Elevation 100 ft top of white stake=#AltBMtop of PL pipe . 94.3
System Elevation 93.3 H.R.P. same as Alt. BM
PL
188'
C,
60'
60
610,
B2
50'
274'
PL /30U' /L
Bl T B4
Pr. 6% lope
Re.
50
3
97' qJ97
Parcel #: 038-1114-10-225 03/31/2005 09:11 AM
PAGE 7 OF 1
Alt. Parcel#: 29.31.18.483C-10 038-TOWN OF STAR PRAIRIE
Current `X', ST.CROIX COUNTY,WISCONSIN
Creation Date Historical Date Map# Sales Area Application# Permit# Permit Type
00 0
Tax Address: Owner(s): =Current Owner
DAVID R BRACHT *BRACHT, DAVID R
985 198TH ST
SOMERSET WI 54025
Districts: SC=School SP=Special Property Address(es): *=Primary
Type Dist# Description *G FIE D ST --�
SC 5432 SCH D OF SOMERSET Al SP 1700 WITC �"�'1N `Jt
Legal Description: Acres: 1.500 Plat: 1255-CSM 15/4073
SECO29 T31 R1 8W PT NE NE FORMERLY PT OF Block/Condo Bldg: LOT 5
LOT 2 CSM 9/2607 NKA LOT 5 CSM 15/4073
(EZ-U-1145/449) - Tract(s): (Sec-Twn-Rng 401/4 1601/4)
29-31N-18W NE NE
Notes: Parcel History:
Date Doc# Vol/Page Type
08/23/2004 772367 2642/163 EZ-1
07/16/2004 768970 2617/614 QC
06/09/2003 725095 2268/452 EZ-1
1048/368 WD
2004 SUMMARY Bill M Fair Market Value: Assessed with:
30558 27,300
Valuations: st Changed: 10/14/2004
Description Class Acres Land Improve Total State Reason
RESIDENTIAL G1 1.500 28,500 0 28,500 NO
Totals for 2004:
General Property 1.500 28,500 0 28,500
Woodland 0.000 0 0
Totals for 2003:
General Property 1.500 18,500 0 18,500
Woodland 0.000 0 0
Lottery Credit: Claim Count: 0 Certification Date: Batch#: 211
Specials:
User Special Code Category Amount
Special Assessments Special Charges Delinquent Charges
Total 0.00 0.00 0.00
11.ED CC� � � dC
2 5 2�p� t0 D
AP '"WP's MAY 14 2001 643624
Co,
�,Cco 1y
C E R S EY MAP
OWNER
oN LOCATED IN THE NE1/4 OF THE NE1/4 AND PART OF 9598TH HT
o in N THE SE1/4 OF THE NE1/4 OF SECTION 29, T31 N, R18W, SOMERSET,WI 54025
v o S TOWN OF STAR PRAIRIE, ST. CROIX COUNTY,
W WISCONSIN. ALSO BEING LOT 2 OF CERTIFIED SURVEY
IWi z MAP IN VOLUME 9, PAGE 2607. NE CORNER
w
SECTION 29
W
1<1 OLL 121
G °PdLa4 OCR @@umumv 10wo m
-----------------
(9Z� �Z\11l_1� ^�lA \\ C] C1�O NO f�
Q t i6 +) 1 ° CID
N
v~i (S88°5753"E 389.53 \ oN a
N88059'19"W rn
_——m N —— N88°59'19WV 389.32' 60 .1 'AOL
188.18' 2U1 4' A — ——
c'no m S0166.00' I ACCES O� MENT/ CD
39.11' ,,�'' �-P Q
rl
------ - 2:08' 0 ;&/-P-,
N88°59' 9"W i R= 80' La
161
1
O OP
I OP
10 N�; 1.500 ACRES m
65,340 SO FT 4 �ml
CY " III LizQ�L N
N EXC. EASEMENT
m 1.286 ACRES I I r' �Q� r
55,997 SO FT CO r-
OD Z
r BENCH MARK i i /' W r°°i w
c`v 0 V IRON PIPE I I N Pi F
✓ tL
EV. 875.68 i I O it N O
r N88°32'00"W 168.84'
Z I j� r o T
00 O z z
N O
@[Enuolpo[D mQ�u-Nap om dOdM(�tlG �9 Z pLaCC 2(m 0
LOT 6 -------------
w
z
TO MEANDER LINE D
2.740 ACRES EXISTIN
cq 119,374 SO FT HOUSE SEPTIC Ci
coo ® .-
a TO O.H.W.M. WELL — — ro
Co
3.17 ACRES
138,176 SO FT+\- i
75'SETBACK ��1.1E��e3.�1, 79+� a N
FROM HIGH— /M�o3�,y,`5�3A30
86gp0 '- o
WATER MARK i'' r
i 1511°3 50 !B65 P��N,.- SOUTH LINE OF THE
_------ --' _ _— �E1/40FTHENEI/4 --
'+ 6a `N PjEPELe
Cl)
' E01. E1/4 CORNER
r pp SECTION 29
THREAD OF RIVER LEGEND
ALUMINUM COUNTY SECTION CORNER
10 MONUMENT FOUND
ST.CROIX COUNTY 0 V IRON PIPE FOUND t
Planning Zoning and Parks Committee
0 1"X 24"IRON PIPE SET WEIGHING
APR 2 5 2001 1.13 LBS. PER LINEAR FOOT
50'ROADWAY SETBACK LINE
If not recorded within 30 days of (N88°55'23"E 254.87) PREVIOUSLY RECORDED MEASUREMENT '
SCA01 1 i sl1� e 100 . 2"IRON PIPE FOUND
O.H.W.M. ORDINARY
YST.CROIX COUNTY ZONING OF ICEFIED 00
100 0 100 ELEV. 860.50
DRAFTED BY: KEVIN REED JOB NO. 00-94 DATE: 12/22/00 REVISED 2/22/01
Vol. 15 Page 4073
1 I,
—T�
DEPARTMENT OF REPORT ON SOIL BORINGS AND SAFETY& BUILDINGS
INDUSTRY, DIVISION
LABOR AND PERCOLATION TESTS . ) P.O. BOX 7969
HUMAN RELATIONS MADISON WI 53707
4"" ILHR 83.09(1)& Chapter 145)
LOCATION: SECTION: WNSHI UNICIPALITY: LOT NO.:BL .NO.: SUB V SION NAME:
&>'/�' '/ /R/ H/R1
COUNTY:
/.fir,fJ ADDRESS_:
°5 A; / !
`~ R s °t
USE DATES OBSERVATIONS MADEr.0W $
NO.BEDRMS.: COMMERCIAL DESCRIPTION: r�y-. PROFI DESCRIPTIONS: PERCOLATION TESTS:
�esidence i ANew ❑Replace gg
RATING:S=Site suitable for system U=Site unsuitable for system
CONVENTIONAL: MOUND: I IN-GROUND-PRESSURE: SYSTEM-IN-FILL OLDING TANK:RECOMMENDED SYSTEM:( ptional)
.®S 1:1U ZS ❑U [9S ❑U ❑S 2U ❑S ]®U �
If Percolation Tests are NOT required DESIGN RATE: If any portion of the tested area is in the
under s. ILHR 83.09(5)(b),indicate: G�7k� 10 i I Floodplain, indicate Floodplain elevation:
PROFILE DESCRIPTIONS
BORING TOTAL DEPTH TO GROUNDWATER-INCHES CHARACTER OF SOIL WITH THICKNESS,COLOR,TEXTURE, AND DEPTH
NUMBER DEPTH IN, ELEVATION OBSERVED EST. IGHEST TO BEDROCK IF OBSERVED (SEE ABBRV.ON BACK.)
B- �.
An
B- 4 J►S. �a—.� .
B-
B-
PERCOLATION TESTS
TEST DEPTH WATER IN HOLE TEST TIME DROP IN WATER LEVEL-INCHES RATE MINUTES
NUMBER AFTER SWELLING INTERVAL-MIN. PERIOD 1 PERIOD PER PER INCH
P_ j G
P- ';? a. e i4
P- ..�
P-
P-
P-
PLOT PLAN: Show locations of percolation tests, soil borings and the dimensions of suitable soil areas. Indicate scale or distances. Describe what are the hori-
zontal and vertical elevation reference points and show their location on the plot plan. Show the surface elevation at all borings and the direction and percent
of land slope. o ,/
SYSTEM ELEVATION �/ ��''- '^ .
_
f
mm r�
– I — _
I r €
r
a
€
IN
lo-
€ : ,
C7 i
ir €
r,
I,the undersigned, hereby certify that the soil tests reported on this form were made by me in accord with the proced�res.and methods specified in the Wisconsin
Administrative Code,and that the data recorded and the location of the tests are correct to the best of my knowledge and belief.
NAME(print): TESTS WERE COMPLETED ON:
ADDRESS: CERTIFICATION NUMBER: PHONE NUMBER(optiorial):
CST SI ATURE: A
DISTRIBUTION:Original and one copy to Local Authority,Property Owner and Soil Tester.
DILHR-SBD-6395(R. 10/83) —OVER —
I
INSTRUCTIONS FOR COMPLETING FORM 115- SOD - 6395
To be a complete and accurate soil test,your report must include:
1. Complete legal description;
2. The use suction must clearly indicate whether this is a residence or commercial project;
3. MAXIMUM number of bedrooms or commercial use planned;
4. Is this a new or replacement system;
S. Complete the suitability rating boxes.A SITE IS SUITABLE FOR A HOLDING TANK ONLY IF ALL OTHER
SYSTEMS ARE RULED OUT BASED ON SOIL CONDITIONS;
8. PLEASE use the abbreviations shown here for writing profile descriptions and completing the plot plan;
7. MAKE A LEGIBLE diagram accurately locating your test locations.Drawing scale is prefered.A separate sheet
may be used if desired;
8. Make sure your benchmark and vertical elevation reference point are clearly shown,and are permanent;
9. Complete all apropriate boxes as to dates,names,addresses,flood plain data,percolation test exemption,if
appropriate:
10. If the information (such as flood plain,elevation)does not apply,place N.A.in the appropriate box;
11. Sign the form and place your current address and yur certification number;
12. Make legible copies and distribute as required. ALL SOIL TESTS MUST BE FILED WITH THE LOCAL
AUTHORITY WITHIN 30 DAYS OF COMPLETION.
ABBREVIATIONS FOR CERTIFIED SOIL TESTERS
Soil Separates and Textures Other Symbols
st — Stone (over 10") BR — Bedrock
cob — Cobble (3 - 10") SS — Standstone
gr — Gravel (under 3") LS — Limestone
's — Sand HGW — High Groundwater
cs — Coarse Sand Perc — Precolation Rate
med s — Medium Sand W — Well
is — Fine Sand Bldg — Building
Is— Loamy Sand �* — Greater Than
'sl — Loamy Sand < — Less Than
'I — Loam Bn — Brown
'sil — Silt Loam BI — Black
si — Slit Gy — Gray
cl — Clay Loam Y — Yellow
scl — Sandy Clay Loam R — Red
sicl — Silty Clay Loam mot — Mottles
sc — Sandy Clay w/ — with
sic — Silty Clay fff — few, fine, faint
'c — Clay cc — common, coarse
pt — Peat mm — Many, Medium
m — Muck d — distinct
p — prominent
HWL — High water level,
surface water
Six general soil textures BM — Bench Mark
for liquid waste disposal VRP — Vertical Reference Point
i
TO THE OWNER:
This soil test report is the first step in securing a sanitary permit. The county or the Department may request
verification of this soil test in the field prior to permit issuance.A complete set of plans for the private sewage system
and a permit application must be submitted to the appropriate local authority in order to obtain a permit.The sanitary
permit must be obtained and posted prior to the start of any construction.